Shigella ni iki? Ibimenyetso, Intandaro, n'Ubuvuzi

Shigella ni ubwoko bw’ibyorezo bitera indwara mu mara yitwa shigellosis. Iyi ndwara itera impiswi, kubabara mu nda, n’umuriro igihe umubiri wawe urwanya ibyorezo bibangiriza mu gice cy’igogorwa ry’ibiribwa.

Inkuru nziza ni uko abantu benshi bakira indwara ya shigella mu gihe cy’icyumweru batakenera ubuvuzi bwihariye. Nubwo bishobora kuba bibi cyane igihe uri kubyihanganira, gusobanukirwa ibiri kubaho no kumenya uko witwara bishobora kugufasha kumva ufite ubushobozi bwo gukira.

Shigella ni iki?

Shigella ni agatsiko k’ibyorezo bigabanya umurimo w’amara bigatera indwara. Hari ubwoko bune bw’ibyorezo bya shigella, ariko byose bikora mu buryo bumwe iyo binjiye mu gice cy’igogorwa ry’ibiribwa.

Iyo ibyorezo bya shigella binjiye mu mubiri wawe, bihera ku rukuta rw’umura munini bigatangira kwiyongera. Ibi biterwa n’ububabare n’uburiganya, bigatera ibimenyetso bibi ushobora guhura na byo. Ubudahangarwa bwawe bw’umubiri bumenya vuba ko ibi byorezo ari abanzi kandi bugatangira kubikuraho.

Icyatuma shigella iba ikibazo cyihariye ni uko ikwirakwira cyane kuva ku muntu ku wundi. Ndetse n’igice gito cy’ibyorezo bishobora gutera indwara, niyo mpamvu rimwe na rimwe haboneka indwara mu bice abantu bahuriye hafi.

Ibimenyetso bya Shigella ni ibihe?

Ibimenyetso bya Shigella bisanzwe bitangira nyuma y’iminsi 1 kugeza kuri 3 umaze kwandura ibyorezo. Indwara yiyerekana binyuze mu bimenyetso byinshi by’igogorwa ry’ibiribwa n’ibimenyetso rusange bishobora kuva ku bito kugeza ku bikomeye.

Ibimenyetso bisanzwe ushobora guhura na byo birimo:

• Impiswi ishobora kuba irimo amaraso cyangwa umusemburo
• Kubabara mu nda
• Umuriro ushobora kugera kuri 38.3°C cyangwa hejuru
• Isesemi no kuruka rimwe na rimwe
• Kumva utameze neza kandi unaniwe
• Guhora ushaka kujya mu bwiherero

Impiswi irimo amaraso ishobora kuba isa n’iteye ubwoba, ariko mu by’ukuri ni uburyo umubiri wawe uvanaho ibyorezo n’uburozi byabyo. Iki kimenyetso gifasha abaganga gutandukanya shigella n’izindi ndwara z’inda.

Mu bihe bimwe na bimwe, cyane cyane mu bana bato, ushobora kubona ibimenyetso byiyongereye nko kubabara umutwe, kudashaka kurya, cyangwa ibimenyetso bike byo gucika amazi nko kongera inyota cyangwa gukora inshuro nke.

Ubwoko bwa Shigella ni ubuhe?

Hari ubwoko bune bw’ibyorezo bya shigella, buri bwoko bufite imico yihariye. Gusobanukirwa ubwoko bwabyo bishobora gusobanura impamvu zimwe mu ndwara zishobora kuba zitandukanye n’izindi.

Shigella sonnei ni ubwoko busanzwe mu bihugu byateye imbere nka Leta Zunze Ubumwe za Amerika. Bisanzwe biterwa n’ibimenyetso bito kandi bikunze gutera indwara mu bigo byita ku bana no mu mashuri. Ubu bwoko busanzwe bukira ubwabwo nta ngaruka.

Shigella flexneri ikunze kugaragara mu bihugu bikiri mu nzira y’amajyambere kandi ishobora gutera ibimenyetso bikomeye. Ikunze gukwirakwira binyuze mu mazi cyangwa ibiryo byanduye kandi bishobora gutinda gukira kurusha izindi.

Shigella dysenteriae ni ubwoko bukomeye kandi bushobora gutera uburozi butuma indwara iba ikomeye. Ubu bwoko buke mu bihugu byateye imbere ariko bushobora gutera ingaruka zikomeye niba budakurikiranwe neza.

Shigella boydii ni ubwoko buke cyane kandi busanzwe butera ibimenyetso bisa n’ibindi bwoko. Ikunda kugaragara mu duce tumwe na tumwe two muri Aziya na Afurika.

Icyatera Shigella ni iki?

Indwara ya Shigella ibaho iyo ibyorezo binjiye mu kanwa kawe bikajya mu mara yawe. Ibyorezo ni byoroshye cyane, bisobanura ko n’igice gito gishobora kukurwara.

Uburyo busanzwe abantu banduramo harimo:

• Guhuza n’umuntu ufite iyo ndwara
• Gukora ku bintu byanduye hanyuma ukakora ku kanwa kawe
• Kurya ibiryo byateguwe n’umuntu utashoboye gukaraba intoki
• Kunwa amazi cyangwa ibinyobwa byanduye
• Koga mu mazi yanduye, ibiyaga, cyangwa izindi nkombe z’amazi
• Imibonano mpuzabitsina n’umuntu wanduye

Icyatuma shigella iba ikibazo cyihariye ni uko abantu bashobora gukwirakwiza ibyorezo mbere y’uko barwara kandi ibyumweru byinshi nyuma y’uko ibimenyetso byabo birangiye. Niyo mpamvu gukurikiza isuku ni ingenzi mu gukumira ikwirakwira ryayo.

Ubushobozi buke bw’isuku bwongera cyane ibyago byo kwandura shigella. Uduce tudafite imiyoboro y’amazi meza cyangwa amazi meza bituma ibyorezo byoroshye gukwirakwira kuva ku muntu ku wundi.

Ni ryari ukwiye kujya kwa muganga kubera Shigella?

Indwara nyinshi za shigella zikira ubwazo, ariko hari igihe ubufasha bw’abaganga bukenerwa. Kumenya igihe ukwiye gusaba ubufasha bishobora gukumira ingaruka no kwihutisha gukira.

Ukwiye kuvugana n’umuganga wawe niba ufite ibimenyetso bikomeye nko guhumeka umuriro urenze 38.5°C, amaraso mu ntege, ibimenyetso byo gucika amazi nko guhindagurika cyangwa gukora inshuro nke, cyangwa kubabara cyane mu nda bidakira n’ikiruhuko.

Shaka ubufasha bw’abaganga vuba niba ufite ibimenyetso byo gucika amazi cyane, harimo inyota ikabije, akanwa kari kumye, gukora inshuro nke, guhindagurika igihe uhagaze, cyangwa gucika intege. Ibi bimenyetso bigaragaza ko umubiri wawe uri gutakaza amazi menshi kandi ukeneye ubufasha bw’abaganga.

Uduce tumwe na tumwe tw’abantu dukwiye kujya kwa muganga vuba iyo bakeka ko bafite indwara ya shigella. Abana bari munsi y’imyaka 5, abantu barengeje imyaka 65, abagore batwite, n’abantu bafite ubudahangarwa bw’umubiri buke bafite ibyago byinshi byo kugira ingaruka kandi bagira inyungu mu gutabarwa vuba.

Niba ibimenyetso byawe bikomeje kurenza icyumweru cyangwa bigaragara ko biri kuba bibi aho kuba byiza, birakwiye ko umuganga akugenzura kugira ngo akureho ingaruka cyangwa izindi ntandaro.

Ibyago byo kwandura Shigella ni ibihe?

Ibintu bimwe na bimwe bishobora kongera amahirwe yo kwandura shigella. Gusobanukirwa ibyo byago bishobora kugufasha gufata ingamba zikwiye mu bihe bitandukanye.

Ibyago bikomeye harimo:

• Kuba hafi y’abantu banduye
• Gukora cyangwa kuba mu bice byuzuye nko mu bigo byita ku bana, amashuri, cyangwa ibigo byita ku bantu bakuze
• Kujya mu duce tudafite isuku
• Kugira ubudahangarwa bw’umubiri buke
• Kuba umwana muto, cyane cyane uri munsi y’imyaka 5
• Abagabo bakora imibonano mpuzabitsina n’abagabo bafite ibyago byinshi kubera uburyo bumwe bwo kwandura

Abana mu bigo byita ku bana bafite ibyago byinshi cyane kuko bagikiga uburyo bwo gukaraba intoki kandi bakunze gusangira ibikinisho n’ibintu. Ibyorezo byikwirakwira byoroshye muri ibyo bice binyuze mu mibanire isanzwe y’abana.

Abantu bajya mu mahanga basura ibihugu bikiri mu nzira y’amajyambere bifite imiyoboro y’amazi ihagije cyangwa imiyoboro y’amazi yanduye bagomba kwitonda cyane. Ndetse n’amaresitora asa n’ameze neza cyangwa amahoteli muri ibyo bice ashobora kuba afite amazi cyangwa ibiryo byanduye.

Abantu bafite ibibazo bigabanya ubudahangarwa bw’umubiri, nka virusi itera SIDA, diyabete, cyangwa abafata imiti imwe na imwe, bashobora kugira ibimenyetso bikomeye kandi bakoresha igihe kinini bakira indwara ya shigella.

Ingaruka zishoboka za Shigella ni izihe?

Nubwo abantu benshi bakira shigella nta ngaruka zirambye, hari ingaruka zimwe na zimwe zishobora kubaho, cyane cyane mu bantu bafite intege nke. Kumenya ibyo bishoboka bigufasha kumenya ibimenyetso byo kwirinda.

Ingaruka zisanzwe harimo:

• Gucika amazi cyane kubera gutakaza amazi
• Gukama mu bana bato kubera umuriro mwinshi
• Indwara y’amaraso niba ibyorezo byakwirakwira mu mara
• Uburwayi bw’ingingo bushobora kuba nyuma y’icyumweru indwara irangiye
• Hemolytic uremic syndrome, indwara y’impyiko idasanzwe ariko ikomeye

Gucika amazi ni ingaruka ikunze kugaragara, cyane cyane mu bana bato n’abakuze. Imibiri yabo ifite amazi make, bituma bafite ibyago byinshi byo kugira ingaruka z’impiswi no kuruka.

Uburwayi bw’ingingo bushobora kuba nyuma y’ibyumweru 2 kugeza kuri 5 nyuma y’indwara, butera ububabare bw’ingingo no kubyimba bishobora kumara amezi. Ibi bibaho igihe ubudahangarwa bw’umubiri wawe bukomeza gusubiza nubwo ibyorezo byarangiye.

Mu bihe bidafite akagero, cyane cyane mu ndwara ya Shigella dysenteriae, hemolytic uremic syndrome ishobora kubaho. Iyi ndwara ikomeye igira ingaruka ku mpyiko n’uturemangingo tw’amaraso, isaba ubufasha bw’abaganga vuba kandi ishobora gusaba kujya mu bitaro.

Indwara y’amaraso ibaho iyo ibyorezo bya shigella biva mu mara bikinjira mu maraso. Iyi ngaruka ikunze kubaho mu bantu bafite ubudahangarwa bw’umubiri buke kandi isaba kuvurwa n’antibiyotike.

Shigella ishobora gukumirwa gute?

Gukumira indwara ya shigella byibanda ku gukumira ikwirakwira ryayo binyuze mu gukurikiza isuku no kurya ibiryo n’amazi meza. Ibyo bintu byoroshye bishobora kugabanya cyane ibyago byo kwandura.

Uburyo bwo gukumira bufite akamaro harimo:

• Gukaraba intoki neza n’isabune mu gihe cy’amasegonda nibura 20
• Kwirinda ibiryo n’amazi bishobora kuba byanduye
• Kudategura ibiryo ku bandi igihe uri kurwara
• Kwima amateraniro yo koga mu mazi ashobora kuba yanduye
• Kwitonda cyane ku isuku igihe uri mu rugendo
• Gukuraho neza udupfukamunwa no gusukura ibintu

Gukaraba intoki ni cyo kintu gikomeye cyo kurinda shigella. Karaba intoki nyuma yo kujya mu bwiherero, guhindura udupfukamunwa, mbere yo kurya, na nyuma yo gukora ku bintu bishobora kuba byanduye. Isabune isanzwe n’amazi bikora neza kurusha amazi yo gukaraba intoki kurwanya ibyorezo bya shigella.

Ugiye mu rugendo, koresha amazi afunzwe cyangwa amazi avuwe neza yo kunwa no gukaraba amenyo. Kwima ubukonje, imboga z’ibishyimbo, n’imbuto udashobora gukuramo uruhu. Hitamo ibiryo bitetse, bishyushye, bivuye mu bigo byizewe.

Niba hari umuntu mu rugo rwawe ufite shigella, kwitondera byiyongera. Sukura ibintu bikunze gukorwaho nko ku mifuko y’ibyumba n’ibyumba byo kwihagarika buri gihe. Gabanya ibikoresho by’umuntu wanduye n’ibikoresho byo kurya kugeza akize.

Ababyeyi n’abarezi bagomba kwita cyane ku isuku yo guhindura udupfukamunwa. Kuraho udupfukamunwa neza, suka ibintu byahinduwe n’amazi yo gukaraba, hanyuma ukarabe intoki neza.

Shigella imenyekanwa ite?

Kumenya shigella bisaba ibizamini bya laboratwari kuko ibimenyetso byayo bihuza n’izindi ndwara nyinshi z’igogorwa ry’ibiribwa. Umuganga wawe azatangira asobanukiwe ibimenyetso byawe n’amateka yawe mbere yo gutegeka ibizamini byihariye.

Uburyo bw’ibanze bwo gupima harimo gupima ibimenyetso by’intege kugira ngo harebwe niba hari ibyorezo bya shigella. Iki kizamini gishobora kumenya ubwoko bwihariye bwa shigella itera indwara yawe, ibyo bigafasha kuyobora imyanzuro y’ubuvuzi niba bikenewe.

Umuganga wawe azakubaza ibyo wakoze vuba, urugendo wakoze, n’ibintu bishobora kuba byarakwanduje. Ibyo bintu bimufasha kumenya niba shigella ishoboka kandi niba hari ibizamini byiyongereye bishobora kuba bikenewe kugira ngo harebwe izindi ndwara.

Mu bihe bimwe na bimwe, cyane cyane niba hari ingaruka ziteganijwe, umuganga wawe ashobora gutegeka ibizamini byiyongereye nko gupima amaraso kugira ngo arebe ibimenyetso byo gucika amazi, indwara ikwirakwira mu zindi nzego z’umubiri, cyangwa izindi ngaruka.

Ibizamini by’intege bisanzwe bifata iminsi 1 kugeza kuri 2 kugira ngo biboneke, nubwo hari ibizamini byihuse rimwe na rimwe biboneka. Muri icyo gihe cyo gutegereza, umuganga wawe azakugira inama yo kwita ku buzima kugira ngo wumve utekanye.

Ubuvuzi bwa Shigella ni ubuhe?

Indwara nyinshi za shigella zikira ubwazo nta buvuzi bwihariye. Ikintu nyamukuru ni ukugufasha kumva utekanye no gukumira gucika amazi mu gihe ubudahangarwa bwawe bw’umubiri bukuraho ibyorezo.

Kwita ku buzima ni ishingiro ry’ubuvuzi kandi harimo kuguma ufite amazi ahagije binyuze mu kunwa amazi menshi, kuruhuka bihagije, no kurya ibiryo byoroshye, byoroshye kugogora igihe wumva utekanye.

Antibiyotike ntizikoreshwa buri gihe mu ndwara za shigella kuko ntizagabanya igihe cy’indwara kandi rimwe na rimwe zishobora gutuma ibyorezo bikomeza gukwirakwira. Ariko rero, umuganga wawe ashobora kwandika antibiyotike mu bihe bimwe na bimwe, nko kurwara cyane, ubudahangarwa bw’umubiri buke, cyangwa ibyago byinshi byo gukwirakwiza indwara ku bandi.

Imiti igabanya impiswi nka loperamide ntisanzwe igira inama yo gukoreshwa mu ndwara za shigella. Iyo miti ishobora kugabanya umuvuduko w’umubiri wawe wo gukuraho ibyorezo kandi ishobora kongera ibyago byo kugira ingaruka.

Niba ufite gucika amazi cyane, umuganga wawe ashobora kugira inama yo gukoresha amazi yo kuvura cyangwa, mu bihe bikomeye, amazi yo mu mutsi kugira ngo asubize amazi n’ibintu by’umubiri mu mubiri wawe.

Imiti igabanya ububabare nka acetaminophen ishobora gufasha gucunga umuriro n’ububabare mu nda. Kwima aspirine, cyane cyane mu bana, kubera ibyago by’indwara idasanzwe ariko ikomeye yitwa Reye's syndrome.

Uko wakwitwara mu rugo igihe ufite Shigella

Kwita ku buzima bwawe mu rugo igihe ufite indwara ya shigella byibanda ku kuguma ufite amazi ahagije, kuruhuka bihagije, no gusubira gahoro gahoro mu kurya bisanzwe igihe wumva utekanye.

Amazi aba ari ikintu cya mbere kuko impiswi n’umuriro bishobora gutuma utakaza amazi vuba. Nwa amazi make, inshuro nyinshi, amazi meza, cyangwa amazi yo kuvura buri munsi, nubwo wumva utanyotewe.

Kuruhuka bituma ubudahangarwa bwawe bw’umubiri bufite imbaraga zo kurwanya indwara. Ntucikire umunezero wo gufata ikiruhuko mu kazi cyangwa mu ishuri. Umubiri wawe ukeneye iyo mbaraga kugira ngo ukire, kandi kuguma mu rugo birinda gukwirakwiza indwara ku bandi.

Iyo ugiye kurya, tanga ibiryo byoroshye, bidafite ibinure igihe ubushake bwawe bugarutse. Ibiryo bya BRAT birimo ibana, umuceri, applesauce, na toasi bishobora kuba byoroshye mu gice cy’igogorwa ry’ibiribwa. Ongeraho ibindi biryo byoroshye nko mukeka, isupu y’inkoko, cyangwa pasta isanzwe.

Kwima ibikomoka ku mata, ibiryo birimo ibinure, ibiryo birimo amavuta menshi, n’ibirimo ibinyobwa by’imiti mu gihe uri gukira. Ibyo bishobora kubabaza igogorwa ry’ibiribwa ryawe kandi bikongera impiswi.

Witondere ibimenyetso bishobora kuba bikenewe ubufasha bw’abaganga, nko kuba ibimenyetso biri kuba bibi, ibimenyetso byo gucika amazi cyane, cyangwa umuriro udasubizwa n’imiti yo kuvura.

Uko wakwitegura kujya kwa muganga

Kwitunganya kugira ngo ujye kwa muganga bifasha guhamya ko ubonye ubufasha n’amakuru byiza igihe uri kumwe. Kugira amakuru yihariye biteguye bishobora gufasha umuganga wawe gufata ibyemezo byiza ku bijyanye no kuvurwa.

Mbere yo kujya kwa muganga, andika igihe ibimenyetso byawe byatangiye, uko byari bimeze, n’impinduka wabonye. Harimo amakuru yerekeye imiterere y’umuriro, umubare w’impiswi, niba wabonye amaraso cyangwa umusemburo mu ntege.

Kora amakuru yerekeye ibyo ushobora kuba warahuriyemo nko kujya mu rugendo vuba, kurya muri resitora zimwe na zimwe, guhura n’abarwayi, cyangwa ibikorwa nko koga. Icyo gikorwa cyo gushakisha gishobora gufasha umuganga wawe gusobanukirwa uko ushobora kuba waranduye.

Andika urutonde rw’imiti yose ufashe ubu, harimo imiti yo kuvura n’ibindi. Imiti imwe na imwe ishobora kugira ingaruka ku bimenyetso byawe cyangwa ikagira ingaruka ku buvuzi umuganga wawe ashobora gutekereza.

Tegura ibibazo ushaka kubaza, nko igihe utegereza ko ibimenyetso byawe birangira, igihe ushobora gusubira mu kazi cyangwa mu ishuri, n’ibimenyetso byo kwirinda bikwiye guhita uhabwa ubufasha bw’abaganga.

Niba bishoboka, tegura intege niba umuganga abisabye. Bashobora kuguha ikibindi n’amabwiriza, cyangwa bakuyobora muri laboratwari kugira ngo bakuremo ibimenyetso.

Icyingenzi cyo kuzirikana kuri Shigella ni iki?

Indwara za shigella ni izwi cyane, zikwirakwira cyane, ariko zisanzwe zikira mu cyumweru kimwe ukoresheje uburyo bwiza bwo kwita ku buzima. Nubwo ibimenyetso bishobora kuba bibi cyane, abantu benshi bakira neza nta ngaruka zirambye.

Ibintu by’ingenzi byo kuzirikana ni ukuguma ufite amazi ahagije, kuruhuka bihagije, no gukurikiza isuku nziza kugira ngo wirinde gukwirakwiza indwara ku bandi. Gukaraba intoki ni cyo kintu gikomeye cyo kurinda no kurinda abagize umuryango igihe uri gukira.

Ntuzuyaze kuvugana n’umuganga wawe niba uhangayikishijwe n’ibimenyetso byawe, cyane cyane niba ubona ibimenyetso byo gucika amazi cyane, umuriro mwinshi cyane, cyangwa ibimenyetso bigaragara ko biri kuba bibi aho kuba byiza.

Zirikana ko kugira shigella rimwe ntibiguha ubudahangarwa burambye, bityo komeza gukurikiza imyifatire myiza y’isuku na nyuma yo gukira. Ufite ubufasha n’ubwitabire bikwiye, urashobora kwitega ko uzaba umeze neza mu cyumweru kimwe cyangwa bibiri.

Ibibazo bikunze kubaho kuri Shigella

Nzamara igihe kingana iki mfite shigella?

Urashobora gukwirakwiza ibyorezo bya shigella kuva igihe ibimenyetso bitangiye kugeza ibyumweru 1 kugeza kuri 2 nyuma y’aho impiswi ihagaritse, nubwo wumva umeze neza. Bamwe bashobora gukwirakwiza ibyorezo kugeza ku byumweru 4 nyuma yo gukira. Niyo mpamvu gukomeza gukaraba intoki ni ingenzi na nyuma y’aho ibimenyetso birangiye, kandi niyo mpamvu ahantu henshi hakora n’amashuri bisaba ko harebwa intege mbere yo kwemerera abantu gusubira mu kazi ko gutegura ibiryo cyangwa kwita ku bana.

Ndashobora kwandura shigella incuro nyinshi?

Yego, ushobora kwandura shigella incuro nyinshi mu buzima bwawe. Kugira ubwoko bumwe bwa shigella ntibikurinda kwandura izindi, kandi ubudahangarwa kuri ubwo bwoko ntiburamara igihe kinini. Niyo mpamvu gukumira binyuze mu gukurikiza isuku bikomeza kuba ingenzi nubwo wari waranduye shigella mbere. Buri ndwara isanzwe isa mu bimenyetso no mu gihe cyo gukira.

Ni byiza gufata probiotics mu gihe ufite indwara ya shigella?

Nubwo probiotics ari nziza ku bantu bafite ubuzima bwiza, ni byiza kubanza kuvugana n’umuganga wawe mbere yo kuyifata mu gihe ufite indwara ya shigella. Ubushakashatsi bumwe bwerekana ko probiotics zimwe na zimwe zishobora gufasha gusubizaho ubuzima bwiza bw’amara nyuma yo kuvurwa n’antibiyotike, ariko ubushakashatsi ntabwo buhamye kuri shigella. Banza witondere kuguma ufite amazi ahagije no kuruhuka bihagije, hanyuma ubanze uganire n’umuganga wawe niba ushaka gukoresha probiotics.

Ni ryari nshobora gusubira mu kazi cyangwa mu ishuri nyuma ya shigella?

Abantu benshi bashobora gusubira mu kazi cyangwa mu ishuri amasaha 24 nyuma y’aho umuriro uhagaritse kandi impiswi igabanutse cyane, mu gihe bashobora gukurikiza isuku nziza. Ariko rero, abantu bakora mu gutegura ibiryo, kuvura, cyangwa kwita ku bana bashobora gutegereza igihe kirekire kandi bashobora gukenera ko harebwa intege mbere yo gusubira. Suzuma amabwiriza y’akazi kawe cyangwa ishuri, kuko ibisabwa bishobora gutandukana bitewe n’amabwiriza y’ubuzima bw’aho hantu.

Ndagomba kwima ibinyobwa byose by’amata mu gihe cyo gukira?

Ni byiza kwima ibinyobwa by’amata mu gihe cy’indwara ya shigella, kuko abantu benshi bahura n’ikibazo cyo kudakunda lactose igihe amara yabo ari kubabara. Ibi bivuze ko ibinyobwa by’amata bishobora kongera impiswi n’ububabare mu nda. Ushobora kongera gukoresha ibinyobwa by’amata buhoro buhoro igihe wumva utekanye, utangire n’ibintu bike byoroshye kugogora nka yogourt. Niba ibinyobwa by’amata bikomeza kugutera ibibazo, reka igogorwa ry’ibiribwa ryawe risubire mu buryo mbere yo kugerageza ukundi.